HUSSEIN A KASSAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

Title

First Name

HUSSEIN

Middle

Last Name

KASSAM

Business Name

HUSSEIN A KASSAM MD

Original Issue Date

11/07/2011

Effective Date

11/07/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

11/17/2014